Community and Group Day programs for people with disabilities in Connecticut.

Serving all towns in Eastern CT. Centers are located in Waterford and Old Saybrook.

Every day, we provide an array of activities that offer adults with disabilities activities aimed at developing their skills, increasing socialization, attain a maximum level of independence, and community inclusion. We also coordinate transportation for people with disabilities to help them attend our programs. Social, recreational and volunteer opportunities are offered to develop life skills, soft skills and work skills.

The activities below help people with disabilities attain a maximum level of independence and community inclusion. We provide the following center-based group day programs or programs in the community. UCP continually develops new community partnerships to enhance and expand our offerings.

GROUP DAY CENTER-BASED PROGRAMS

Small groups
Person-centered activities
Instructional Classes
6 hour days
Accessible transportation

INDIVIDUALIZED DAY COMMUNITY PROGRAMS

One to one
Transportation included
Person centered activities
5 to 20 hours per week

Contact Our Team

RESPITE SERVICES

Respite Services are open to adults with disabilities with funding under the DDS HCBS waiver.
Group respite is offered at our Waterford location: 2:30pm to 5pm, M – F.
Individuals will be cared for and supported while engaging with peers, working on social skills and being active. For DDS funded adults or private payers.

Personal Data
Name*
First Middle Last
Present Address*
Street Address Address Line 2 City State ZIP Code
Cellular Phone Number
E-Mail Address*
Date of Birth*
MM slash DD slash YYYY
Gender
Are you a student?
- I am a student
School Currently Attending*

Current DDS Provider

Name	Type of Service

Please list name and type of service (GSE, Day, ISE, IDV etc.)

Referral Contact Information
Referral Contact Name
First Middle Last
Referral Contact Email
Referral Contact Address
Street Address Address Line 2 City State ZIP Code
Referral Contact Cellular Phone Number
Referral Contact Signature
Referral Contact Signed Date
MM slash DD slash YYYY
Referral Contact Name
First Middle Last
Referral Contact Email
Referral Contact Address
Street Address Address Line 2 City State ZIP Code
Referral Contact Cellular Phone Number
Referral Contact Signature
Intern Candidate Information
1. Universal Release: I authorize the release of educational and employment records concerning the intern candidate from his or her school, DDS program or Employer to UCP of Eastern CT and Project SEARCH Partners.
2. Equal Opportunity: Project SEARCH placement will be made without regard to race, color, age, sex, national origin, cultural or economic background, housing circumstances is entitled to equal opportunity for educational development.
Candidate Signature*
Signed Date*
MM slash DD slash YYYY
Future Employment Preferences and Background
What is your career of interest?*
How do you want to be employed in the community upon the completion of Project SEARCH?*
- Full-time
- Part-time
List jobs you do or have done in the school or in the community (paid or volunteer)
Employer
Contact Number
Supervisors Name/Title
- Paid
- Unpaid
Date Started
Date Ended

Job Duties

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Employer
Contact Number
Supervisors Name/Title
- Paid
- Unpaid
Date Started
Date Ended

Job Duties

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List other jobs you do or have done in the school or in the community (paid or volunteer)
Candidate Response Question
Why do you want to participate in Project SEARCH?*
Complete in your own words and/or person assisting will write the responses in the candidate's own words.
References:
Please provide 3 references.

Required*

Name	Relationship	Phone Number	Email Address

Assistance
The person assisting the candidate to complete this application is:
Name*
First Last
Title*
Organization*
Phone Nuimber*
Email*
Signature*
Date
MM slash DD slash YYYY
School Personnel Only
- Completed Application Packet (Student/Family completes and submits)
- High School Transcript (Local School/EUPISD will submit on behalf of intern)
- Attendance Record (Local School/EUPISD will submit on behalf of intern)
- Current IEP (Local School/EUPISD will submit on behalf of intern)
- Most Recent Evaluation Team Report (Local School/EUPISD will submit on behalf of intern)
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